Healthcare Provider Details

I. General information

NPI: 1497853774
Provider Name (Legal Business Name): MELISSA CASHMAN, PH.D.,P.C.,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 WALNUT DR
ARDMORE OK
73401-2353
US

IV. Provider business mailing address

229 OLDE BROOK CT
NORMAN OK
73072-4548
US

V. Phone/Fax

Practice location:
  • Phone: 580-226-0543
  • Fax: 580-226-2284
Mailing address:
  • Phone: 405-366-8877
  • Fax: 405-366-8880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number906
License Number StateOK

VIII. Authorized Official

Name: DR. MELISSA CASHMAN
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 405-366-8877